PROMISE HEALTHCARE NFP
NPI 1043936438
Clinic/Center - Federally Qualified Health Center (FQHC) in Champaign, IL

Active since October 17, 2022CLIA 14D2328350 · Waiver
821 S NEIL ST, CHAMPAIGN, IL 61820(217) 356-1558 Get Directions Write a Review

NPPES record last updated: October 17, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Promise Healthcare Nfp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROMISE HEALTHCARE NFP (NPI 1043936438), doing business as Fn On Neil St., is a healthcare organization registered as a federally qualified health center (fqhc) in Champaign, Illinois and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through August 6, 2027 and lists April Arrasmith, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1043936438
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePROMISE HEALTHCARE NFP
Location Address821 S NEIL STChampaign, IL 61820-5205
Mailing Address819 Bloomington RdChampaign, IL 61820-2101 · (217) 356-1558
Organization SubpartNo
Authorized OfficialApril ArrasmithBilling Manager · (217) 403-5403
Enumeration DateOctober 17, 2022
NPPES CertifiedOctober 11, 2022
✔ NPI 1043936438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
821 S NEIL ST, Champaign, IL 61820

Other Names 1

Doing Business AsFn On Neil St.

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Promise Healthcare Nfp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

48

Medicare enrollment records show 48 clinicians reassign Medicare billing to Promise Healthcare Nfp, which bills Medicare for the services they deliver. Of these, 35 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Nurse Practitioner21
Family Practice6
Dentist4
Psychiatry4
Clinical Social Worker3
Mental Health Counselor3
Internal Medicine2
Obstetrics/Gynecology2
2 other specialties3

Nearest to this location (20)

See all 48
Mental Health Counselor
NPI 1922308949
1701 S PROSPECT AVE SUITE 101
Champaign, IL 61820
(217) 607-0916
✔ PECOS1.0 mi
Internal Medicine
NPI 1649483736
611 W. PARK STREET HOSPITALIST SERVICES
Urbana, IL 61801
(217) 383-3129
✔ PECOS✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1700281342
611 W. PARK ST
Urbana, IL 61801
(217) 383-6792
✔ PECOS1.1 mi
Psychiatry
NPI 1477572733
1400 W PARK ST 5TH FLOOR
Urbana, IL 61801
(217) 337-2130
✔ PECOS✔ Accepts Medicare1.2 mi
Psychiatry
NPI 1215952684
1400 W PARK ST 5TH FLOOR
Urbana, IL 61801
(217) 337-2130
✔ PECOS1.2 mi
Family Practice
NPI 1710923560
1109 S LINCOLN AVE
Urbana, IL 61801
(217) 333-2700
✔ PECOS1.3 mi
Family Practice
NPI 1619147592
1109 S. LINCOLN AVE. MCKINLEY HEALTH CENTER
Urbana, IL 61801
(217) 333-2711
✔ PECOS1.3 mi
Nurse Practitioner
NPI 1689441099
610 N LINCOLN AVE
Urbana, IL 61801
(217) 383-3507
✔ PECOS1.5 mi
Obstetrics/Gynecology
NPI 1093802001
602 W. UNIVERSITY AVENUE OB/GYN
Urbana, IL 61801
(217) 383-3140
✔ PECOS1.7 mi
Nurse Practitioner
NPI 1033088539
611 W PARK ST
Urbana, IL 61801
(217) 383-3313
✔ PECOS1.7 mi
Obstetrics/Gynecology
NPI 1073720157
611 W. PARK ST. SC4
Urbana, IL 61801
(217) 383-3140
✔ PECOS✔ Accepts Medicare1.7 mi
Family Practice
NPI 1033184247
611 W PARK ST
Urbana, IL 61801
(217) 383-3170
✔ PECOS✔ Accepts Medicare1.8 mi
Clinical Social Worker
NPI 1992290449
819 BLOOMINGTON RD
Champaign, IL 61820
(217) 356-1558
✔ PECOS✔ Accepts Medicare1.8 mi
Clinical Social Worker
NPI 1962130674
819 BLOOMINGTON RD
Champaign, IL 61820
(217) 356-1558
✔ PECOS✔ Accepts Medicare1.8 mi
Dentist
NPI 1154932218
819 BLOOMINGTON RD
Champaign, IL 61820
(217) 356-1558
✔ PECOS1.8 mi
Mental Health Counselor
NPI 1396822276
1813 W KIRBY AVE
Champaign, IL 61821
(217) 383-6039
✔ PECOS✔ Accepts Medicare1.9 mi
Psychiatry
NPI 1962507954
1813 W KIRBY AVE
Champaign, IL 61821
(217) 383-1850
✔ PECOS1.9 mi
Certified Nurse Midwife (CNM)
NPI 1093351413
2001 PHILO RD
Urbana, IL 61802
(217) 398-9066
✔ PECOS✔ Accepts Medicare2.9 mi
Pediatric Medicine
NPI 1306002993
1701 W. CURTIS ROAD
Campaign, IL 61822
(217) 365-6201
✔ PECOS✔ Accepts Medicare3.0 mi
Internal Medicine
NPI 1811929219
1701 W. CURTIS ROAD ADULT MEDICINE
Champaign, IL 61822
(217) 365-6502
✔ PECOS3.0 mi
See all 48 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2328350

Promise Health Kenyon · Champaign, IL
Active · expires Aug 6, 2027
CLIA Number14D2328350
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateAugust 7, 2025
Certificate Expiration DateAugust 6, 2027
Laboratory DirectorMelonie M. Richardson
Laboratory Phone(217) 356-1558
Laboratory LocationPromise Health Kenyon201 Kenyon Rd, Champaign, IL 61820
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Promise Healthcare Nfp's NPI number?

The NPI number for Promise Healthcare Nfp is 1043936438. It was assigned to this organization in the NPPES registry on October 17, 2022. The provider is doing business as FN on Neil St..

Where is Promise Healthcare Nfp located?

Promise Healthcare Nfp is located at 821 S Neil St, Champaign, IL 61820. The listed phone number is (217) 356-1558.

What is Promise Healthcare Nfp's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Promise Healthcare Nfp enrolled in Medicare?

Yes. Promise Healthcare Nfp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Promise Healthcare Nfp?

According to the CMS Revalidation Reassignment List (October 2026 release), 48 clinicians in 10 Medicare specialties reassign their Medicare billing to Promise Healthcare Nfp. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (21), Family Practice (6) and Dentist (4). Of these, 35 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Promise Healthcare Nfp hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2328350) is associated with this NPI, valid through August 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Promise Healthcare Nfp accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and UnitedHealthcare list Promise Healthcare Nfp as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Promise Healthcare Nfp was last updated on October 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.